Liver Cirrhosis is a pathological condition that describes end-stage hepatic fibrosis that goes progressively characterized by distortion of the hepatic architecture and the formation of regenerative nodules (Sudoyo Aru, et al 2009)
Causes of cirrhosis include:
- Hepatic virus
- Hemochromatosis (iron overload)
- Toxic substances
Clinical Manifestations of Liver Cirrhosis
- Enlarged liver
- Gastric varices
- Obstruction portal and ascites
- Vitamin deficiency and anemia
- Mental Decline
- Nausea, vomiting, anorexia and weight loss
- Muscle weakness and feeling tired
- Imaging exams: ultrasound liver, gall bladder, and spleen. Liver ultrasound can describe how far the damage.
- Pathological examination: Pathological examination for signs of viral hepatitis.
- Liver function tests: The liver function tests, we can understand how much the severity of liver cirrhosis.
- Four indicators of hepatic fibrosis: liver fibrosis is a chronic disease. Early detection using four indicators of hepatic fibrosis, may help diagnose more quickly whether there is liver fibrosis.
- Liver biopsy: A biopsy can indicate the presence or absence of cirrhosis of the liver.
- Laparoscopy: direct examination that can be done in the liver, spleen, digestive organs.
- Excess fluid volume
- Ineffective breathing pattern
- Impaired gas exchange
- Pain (acute / chronic)
- Impaired physical mobility
- Disturbed Body Image
- Risk for infection
- Impaired skin integrity
- Low Self-Esteem
Source : http://nandanursingdiagnosis.blogspot.co.id/2013/01/10-nursing-diagnosis-for-liver-disease.html